| NPI | 1700384625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4731) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 128812) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT114098) | |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT128812) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2026-03-19 |